Organization
JERRAL S SEIBERT M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRAL S SEIBERT M.D. (PHYSICIAN/OWNER)
(925) 939-1220
Entity
Organization
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 484-1395
(925) 924-0969
Mailing address
3685 NORDSTROM LN, LAFAYETTE, CA 94549-3027
(925) 939-1220
(925) 283-4123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A17834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A178340
BLUE SHIELD
CA
Enumeration date
03/25/2013
Last updated
03/25/2013
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